| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,841 |
1,835 |
$181K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,322 |
1,319 |
$42K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
577 |
574 |
$25K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
320 |
320 |
$19K |
| 92015 |
Determination of refractive state |
958 |
958 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
115 |
115 |
$7K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
88 |
88 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
277 |
277 |
$3K |